Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | 35080593 | OH |
N | 2084N0402X | Child Neurologist | 35080593 | OH |
Y | 2084N0600X | Clinical Neurophysiologist | 35080593 | OH |
NPI | 1265426647 |
---|---|
Provider Name | Abdul Latif Khuhro |
First Address | Columbus, OH 43205-2664 |
Second Address | Columbus, OH 43205-2664 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2005 |
Last Update Date | 04/02/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2006752000 | (05) | WV |
2378145 | (05) | OH |
64060775 | (05) | KY |
H79029 | (02) |